UNITED INDIA INSURANCE COMPANY LIMITED

DIVISIONAL OFFICE : TAMBARAM - 280800, 2ND FLOOR, S.B.A COMPLEX,7/73, VENKATESAN STREET,WEST TAMBARAM, CHENNAI
KANCHIPURAM - 600045 TAMIL NADU
PH: (044) 22266777 FAX: EMAIL:

GROUP PERSONAL ACCIDENT POLICY

POLICY NO.:2808004224P104810737

PERIOD OF INSURANCE
From 00:00 Hrs of 01/07/2024
To Midnight of 30/06/2025

Insured
M/s INTECH SYSTEMS CHENNAI PVT. LTD.
S-2, GUINDY INDUSTRIAL ESTATE, CHENNAI .

600032
CHENNAI
TAMIL NADU

Agent Name : RANJITHA D

Agent Code : AGN1003416
9444444749
Mobile/Landline Number/Email :
sureshj77@yahoo.com

The genuineness of the policy can be verified through "Verify Your Policy" link at www.uiic.co.in.

For any Information, Service Requests, Claim intimation and Grievances please write to 280800@uiic.co.in

Download Customer App(www.uiic.co.in). REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014.
Website: http://www.uiic.co.in
Printed By : SHA60105 @ 03/07/2024 1:04:27 PM

1 / 15
 GROUP PERSONAL ACCIDENT POLICY
SCHEDULE

Policy No.: 2808004224P104810737 Prev.Pol.No.: 2808004223P103450496

Name of Customer/ID M/s INTECH SYSTEMS CHENNAI PVT. LTD. /23026004578
Tel.(O): Fax: Tel.(R): Mobile: 9840666448
Business/Occupation : None Email: divya@intech.net.in
Period of Insurance: From 00:00 Hours of 01/07/2024 To MIDNIGHT of 30/06/2025

Coinsurance UIIC 280800 : 100%

Premium : Ninety-nine thousand two hundred ninety-nine rupees only

INSURED DETAILS:
As Per Annexure Attached.

Risk Category No. of Person/Category Covers Premium Loading/Discount Caculated Amount

Table III DEATH PTD PPD 157,225.00
RiskCategory I 207
Medical Expenses 31,445.00

Total Sum Insured for the

Total No Of Person 207 165500000
Group

Special Conditions COVERAGES: Death, PTD, PPD

Net Premium: 99,299.00

CGST(9%): 8,937.00
SGST(9%): 8,937.00
Stamp Duty: 50.00
Total : 117,173.00
Receipt Number : 10128080024105220769
Receipt Date: 03/07/2024
Agency/Broker Code : AGN1003416
Business Associate Code
BAS20786
:
Direct Business : Business Associate

Customer GST/UIN No.: 33AABCI0806J1ZZ Office GST No.: 33AAACU5552C1ZQ

SAC Code: 997133 Invoice No. & Date: 4224I104810737 & 03/07/2024
Amount Subject to Reverse Charges-NIL

We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the
aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said
sub-rule.
Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding
1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company's web site.

LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in.

Date of Proposal and Declaration:01/07/2024

WITNESS WHEREOF, the undersigned being duly authorised has hereunto set his/her hand at DO TAMBARAM on this 03 th day of July
2024

For United India Insurance Co. Ltd.

Affix Policy
Stamp here.

Authorized Signatory.
Underwritten By - SHA60105 ( DO UW CUM CASHIER )

2 / 15
Annexure:
Sl. Employee Risk Date of
Name Of Insured Occupation Age Sum Insured AssigneeName AssigneeRelationShip
No. Id Category Joining
RiskCategory
1 55 AMBIGA M Professional 31 500,000.00 Muniyandi V Father 01/07/2024
I
RiskCategory
2 7 AMIRTHARAJ A Professional 42 1,000,000.00 Sharmila A Spouse 01/07/2024
I
RiskCategory
3 82 ANANTHA RAJ K Professional 35 1,000,000.00 Banumathi K Mother 01/07/2024
I
RiskCategory
4 411 ANBARASI E Professional 29 500,000.00 Arunkumar E Others 01/07/2024
I
RiskCategory
5 65 ARULSELVAN A Professional 35 1,000,000.00 Mathivathani A Spouse 01/07/2024
I
RiskCategory
6 5 AYYASAMY A Professional 47 1,000,000.00 Devika K Spouse 01/07/2024
I
RiskCategory
7 144 BUVANESWARI M Professional 36 500,000.00 Manikandan M Spouse 01/07/2024
I
RiskCategory
8 75 DEVI E Professional 47 500,000.00 Radhika E Daughter 01/07/2024
I
RiskCategory
9 47 DILLI PRASAD K Professional 45 500,000.00 Huma Devi S Spouse 01/07/2024
I
RiskCategory Purushothaman C
10 11 DIVYA KUMARI P Professional 44 500,000.00 Spouse 01/07/2024
I K
RiskCategory
11 69 EZHILAN R Professional 37 1,000,000.00 Vijayalakshmi R Mother 01/07/2024
I
RiskCategory
12 18 GAYATHRI J Professional 57 500,000.00 Jayaraman A D Spouse 01/07/2024
I
RiskCategory
13 62 GOMATHI S Professional 36 500,000.00 Dilip Kumar D Spouse 01/07/2024
I
RiskCategory
14 425 GOVINDHARAJI U Professional 27 1,000,000.00 Vignesh U Others 01/07/2024
I
RiskCategory
15 426 ILAKKIYA S Professional 30 500,000.00 Sivanammal V Others 01/07/2024
I
RiskCategory
16 422 KANNIAMMAL E Professional 54 1,000,000.00 Etti Spouse 01/07/2024
I
RiskCategory
17 454 KARTHIK K Professional 36 1,000,000.00 Nithya K Spouse 01/07/2024
I
RiskCategory
18 384 KATHIRVELAMMAL H Professional 41 500,000.00 Vallinayagam K Spouse 01/07/2024
I
RiskCategory
19 450 LAKSHMI R Professional 48 500,000.00 Ramesh Spouse 01/07/2024
I
RiskCategory
20 23 LATHA K Professional 56 500,000.00 Kumar N Spouse 01/07/2024
I
RiskCategory
21 30 MADHAVAN K Professional 34 1,000,000.00 Ramani K Mother 01/07/2024
I
RiskCategory
22 444 MARY V Professional 49 500,000.00 Venkataiah T Spouse 01/07/2024
I
RiskCategory
23 118 MURUGAN C Professional 49 1,000,000.00 Geetha M Spouse 01/07/2024
I
RiskCategory
24 94 NAGAPPAN J Professional 56 1,000,000.00 Sasikala N Spouse 01/07/2024
I
RiskCategory
25 27 PRABAGARAN K Professional 38 1,000,000.00 Kalivani A T Spouse 01/07/2024
I
RiskCategory
26 337 PRATYUSHA M Professional 32 500,000.00 Manikandan R Spouse 01/07/2024
I
RiskCategory
27 53 RADHA G Professional 44 500,000.00 Gopinath J Spouse 01/07/2024
I
RiskCategory
28 58 RAJEEVGANDHI P Professional 37 1,000,000.00 Jeeva E Spouse 01/07/2024
I
RiskCategory
29 461 RANJANI R Professional 28 500,000.00 Umarani R Mother 01/07/2024
I
RiskCategory
30 12 SASIKALA N Professional 51 500,000.00 Nagappan J Spouse 01/07/2024
I
RiskCategory
31 216 SELVANAYAKI S Professional 31 500,000.00 Sundhararaju R Father 01/07/2024
I
RiskCategory
32 139 SIVASANKAR A Professional 46 1,000,000.00 Suja S Spouse 01/07/2024
I
RiskCategory
33 383 SRINIVASAN J Professional 37 1,000,000.00 Rajeswari R Spouse 01/07/2024
I
RiskCategory
34 423 VALLIYAMMAL D Professional 49 1,000,000.00 Durai Spouse 01/07/2024
I
RiskCategory
35 108 VENKATESAN M Professional 44 1,000,000.00 Jayanthi V Spouse 01/07/2024
I
RiskCategory
36 13 VIJAYALAKSHMI R Professional 51 500,000.00 Ramesh A Spouse 01/07/2024
I
RiskCategory
37 503 MADHAN KUMAR T Professional 36 1,000,000.00 Vaithegai M Spouse 01/07/2024
I
RiskCategory
38 496 VIGNESH U Professional 25 1,000,000.00 Umapathi Father 01/07/2024
I
RiskCategory
39 513 PAUL DINAKARAN A Professional 31 1,000,000.00 Karthika P Spouse 01/07/2024
I
RiskCategory
40 527 PADMAVATHY S Professional 39 500,000.00 Shreedhar R Spouse 01/07/2024
I
RiskCategory
41 529 DEEPA R Professional 26 500,000.00 Ravi Kumar E Father 01/07/2024
I

3 / 15
 RiskCategory
42 545 THIPPESWAMY B Professional 39 1,000,000.00 Roopa G Spouse 01/07/2024
I
RiskCategory
43 555 BACKIYALAKSHMI R Professional 25 500,000.00 Raja ST Father 01/07/2024
I
RiskCategory
44 557 AJAY K Professional 26 1,000,000.00 Kamanan C Father 01/07/2024
I
RiskCategory
45 561 SWATHI R Professional 30 500,000.00 Ravichandran R Father 01/07/2024
I
RiskCategory
46 562 HARIKRISHNAN R Professional 30 1,000,000.00 Raja Father 01/07/2024
I
RiskCategory
47 566 AROKIA SABITHA T Professional 39 500,000.00 Roseline Leema Mother 01/07/2024
I
RiskCategory
48 573 SUGUMAR E Professional 37 1,000,000.00 Priya S Spouse 01/07/2024
I
RiskCategory
49 577 GUNASEKAR M Professional 25 1,000,000.00 Manivasagan Father 01/07/2024
I
RiskCategory
50 584 SHAREPASAB NADAF P Professional 33 1,000,000.00 Peerasab Father 01/07/2024
I
RiskCategory
51 588 ARAVIND T Professional 27 1,000,000.00 Thilagar K Father 01/07/2024
I
RiskCategory
52 594 MATHUMITHA S Professional 27 500,000.00 Manisha S Others 01/07/2024
I
RiskCategory
53 556 VIMALRAJ R Professional 33 1,000,000.00 Divya R Spouse 01/07/2024
I
RiskCategory
54 587 SILAMBARASAN S Professional 31 1,000,000.00 Subramani Father 01/07/2024
I
PRASEENA RiskCategory
55 609 Professional 43 500,000.00 Chockalingam D Spouse 01/07/2024
CHOCKALINGAM T A I
RiskCategory
56 625 PUSHPALATHA S Professional 34 500,000.00 Murali Mohan Spouse 01/07/2024
I
RiskCategory
57 633 RAMALYA R Professional 28 500,000.00 Geetha Mother 01/07/2024
I
RiskCategory
58 477 DHANUSHYA D Professional 30 500,000.00 Aravind R Spouse 01/07/2024
I
RiskCategory
59 637 KARUNAKARAN K Professional 34 1,000,000.00 Kumar Father 01/07/2024
I
RiskCategory
60 638 PRIYA K Professional 31 500,000.00 Pragathy V Daughter 01/07/2024
I
RiskCategory
61 647 JAYAMANI S Professional 30 500,000.00 Suresh S Spouse 01/07/2024
I
RiskCategory
62 653 ARUNKUMAR UL Professional 28 1,000,000.00 Manimegalai Mother 01/07/2024
I
RiskCategory
63 665 DARTHY NISHA A Professional 25 500,000.00 Jayamani A Mother 01/07/2024
I
RiskCategory
64 667 VENKATESH M Professional 28 1,000,000.00 Tamilselvi Mother 01/07/2024
I
MAHALAXMI RiskCategory Muthukumar
65 672 Professional 36 500,000.00 Spouse 01/07/2024
MUTHUKUMAR NADAR I Paldurai Nadar
RiskCategory
66 688 RAJA N Professional 31 1,000,000.00 Revathi Mother 01/07/2024
I
RiskCategory
67 689 MADASAMY P Professional 26 1,000,000.00 Paul Raj Father 01/07/2024
I
RiskCategory
68 693 MOHANRAJ A Professional 28 1,000,000.00 Meera Others 01/07/2024
I
RiskCategory kanniga
69 696 SIVA SUBRAMANIAN S Professional 26 1,000,000.00 Others 01/07/2024
I Parameswaran
RiskCategory
70 705 THIRUSANGU S Professional 31 1,000,000.00 Srinivasan Father 01/07/2024
I
RiskCategory
71 711 ANANDHI K Professional 33 500,000.00 Kumanan M Spouse 01/07/2024
I
RiskCategory
72 710 KAMALI G Professional 26 500,000.00 Govindhan Father 01/07/2024
I
MOHAMED ABSUL RiskCategory
73 713 Professional 23 1,000,000.00 Jahangeer K Father 01/07/2024
SUHAIL J I
RiskCategory
74 718 PUNEETH KUMAR P Professional 28 1,000,000.00 Mangala Mother 01/07/2024
I
RiskCategory
75 724 DAMODHARAN P Professional 39 1,000,000.00 Malathi Spouse 01/07/2024
I
RiskCategory
76 725 DIVYA M Professional 31 500,000.00 Muniyandi D Spouse 01/07/2024
I
RiskCategory
77 730 NINGARAJ F NAYKAR Professional 25 1,000,000.00 Fakkiresh Father 01/07/2024
I
RiskCategory
78 737 PRASHANT S Professional 26 1,000,000.00 Shekappa Father 01/07/2024
I
RiskCategory
79 741 DINESH D Professional 33 1,000,000.00 Shanthi Mother 01/07/2024
I
RiskCategory
80 746 SIVA N Professional 26 1,000,000.00 Nagarajan Father 01/07/2024
I
RiskCategory
81 757 GOMATHI B Professional 29 500,000.00 Balu A Father 01/07/2024
I
RiskCategory Aashiq Hanif
82 717 UMAIZA FATHIMA A Professional 38 500,000.00 Spouse 01/07/2024
I Ahamed
RiskCategory
83 792 VELAYUDHAM V Professional 26 1,000,000.00 Velu Father 01/07/2024
I
RiskCategory
84 338 VANITHA D Professional 43 500,000.00 Madhanagopal S Spouse 01/07/2024
I

4 / 15
 RiskCategory
85 342 GUNALAN J Professional 33 1,000,000.00 Jayakumar N Father 01/07/2024
I
RiskCategory
86 391 JAYAPRIYA N Professional 28 500,000.00 Natesan G Father 01/07/2024
I
RiskCategory
87 460 SATHYAPRIYA A Professional 31 500,000.00 Arivarasu P Father 01/07/2024
I
RiskCategory
88 768 VINITH G Professional 24 500,000.00 Kalaivani P Father 01/07/2024
I
RiskCategory
89 773 SURYA PRAKASH J Professional 28 1,000,000.00 Regina Mary Mother 01/07/2024
I
RiskCategory
90 774 ABIN V BABU Professional 26 1,000,000.00 Vijaya Babu Father 01/07/2024
I
LOURDU ARUL RiskCategory
91 777 Professional 32 1,000,000.00 Ruby Nrmala Mother 01/07/2024
PRASATH S I
RiskCategory
92 779 SUBASH B Professional 22 1,000,000.00 Baskar Father 01/07/2024
I
RiskCategory
93 781 KANNAMMA K Professional 37 500,000.00 Krishnakumar Spouse 01/07/2024
I
RiskCategory
94 782 NITHYANANDHAM K Professional 26 500,000.00 Kumar B Father 01/07/2024
I
RiskCategory
95 784 SANDHIYA U Professional 22 500,000.00 venkatsan R Spouse 01/07/2024
I
RiskCategory
96 795 GOVINDA SHARMA J Professional 34 500,000.00 Sharmila Sharma Spouse 01/07/2024
I
RiskCategory
97 796 MARIYALATHA W Professional 44 500,000.00 Magesh W Son 01/07/2024
I
RiskCategory
98 788 SANKAR V Professional 23 1,000,000.00 Vasu G Father 01/07/2024
I
RiskCategory Joseph Raja
99 798 RONALDPHILIPS J Professional 28 1,000,000.00 Father 01/07/2024
I Rathinam
RiskCategory
100 802 KOWSALYA V Professional 23 500,000.00 Rani V Mother 01/07/2024
I
RiskCategory Koyyada
101 805 MEGHANATH K Professional 22 1,000,000.00 Father 01/07/2024
I Kanakaiah
VINITHA POOVARASI RiskCategory
102 807 Professional 24 500,000.00 Ramesh Father 01/07/2024
R I
RiskCategory
103 811 DIVYAPRIYA G Professional 23 500,000.00 Gopalakrishnan Father 01/07/2024
I
RiskCategory
104 813 SATHISH KUMAR S Professional 26 1,000,000.00 Subramanian Father 01/07/2024
I
RiskCategory
105 818 ABIRAMI S Professional 24 500,000.00 Selvaraj Father 01/07/2024
I
RiskCategory
106 820 SUGANYA R Professional 38 500,000.00 Manikandan Spouse 01/07/2024
I
ANTONY NIRANJAN RiskCategory
107 821 Professional 24 1,000,000.00 Michael Rabert Father 01/07/2024
CROSS M I
RiskCategory
108 822 MANIMARAN T Professional 26 1,000,000.00 Thandayuthabani Father 01/07/2024
I
RiskCategory
109 827 JINANTHAR A Professional 28 500,000.00 Anbazhagan Father 01/07/2024
I
RiskCategory
110 829 RAJAN A K Professional 40 1,000,000.00 Sangeetha R Spouse 01/07/2024
I
RiskCategory
111 830 NAGARAJAN M Professional 24 1,000,000.00 Latha C Mother 01/07/2024
I
RiskCategory
112 834 BALAMURUGAN P Professional 31 1,000,000.00 Pannir Father 01/07/2024
I
RiskCategory
113 837 SURIYA K Professional 25 1,000,000.00 Kumar C Father 01/07/2024
I
RiskCategory
114 839 PALANI K Professional 50 1,000,000.00 Latha Spouse 01/07/2024
I
RiskCategory
115 840 SRI RAM K M Professional 25 1,000,000.00 Madheswaran K T Father 01/07/2024
I
RiskCategory
116 842 SUBASHINI P Professional 23 500,000.00 Palanivel R Father 01/07/2024
I
RiskCategory
117 843 TAMILARASAN C Professional 22 500,000.00 Chinniyan A Father 01/07/2024
I
RiskCategory
118 844 JAIKUMAR G Professional 31 1,000,000.00 Ganesan Father 01/07/2024
I
RiskCategory
119 845 AJIN R Professional 23 1,000,000.00 Anu R Others 01/07/2024
I
RiskCategory
120 848 KUPPUSAMY R Professional 33 1,000,000.00 Ranganathan P Father 01/07/2024
I
RiskCategory
121 849 SUBASHINI B Professional 21 500,000.00 Boopalan Father 01/07/2024
I
RiskCategory
122 851 MUNIYANDI D Professional 33 1,000,000.00 Divya M Spouse 01/07/2024
I
RiskCategory
123 852 MAHALAKSHMI A Professional 29 500,000.00 Vigneshwaran K Spouse 01/07/2024
I
RiskCategory
124 859 SOWMIYA J Professional 24 500,000.00 Jayapalan J Father 01/07/2024
I
RiskCategory
125 860 RAJADURAI M Professional 23 1,000,000.00 Shokkama Mother 01/07/2024
I
RiskCategory
126 861 VINOTHINI R Professional 31 500,000.00 Rathakrishnan R Father 01/07/2024
I
RiskCategory
127 862 DHANDAPANI K Professional 45 1,000,000.00 Sathya D Spouse 01/07/2024
I

5 / 15
 RiskCategory
128 863 MUTHUKUMAR S Professional 46 1,000,000.00 Dura Devi M Spouse 01/07/2024
I
RiskCategory
129 867 KRISHNAN N Professional 27 1,000,000.00 Vanitha N Mother 01/07/2024
I
RiskCategory
130 869 SURESH KUMAR A Professional 34 1,000,000.00 Priyanka Spouse 01/07/2024
I
RiskCategory
131 876 MURUGESAN E Professional 47 1,000,000.00 Uma Mageshwari Spouse 01/07/2024
I
RiskCategory
132 879 BEVINA M Professional 23 500,000.00 Navarose Salomi D Mother 01/07/2024
I
RiskCategory
133 881 PREM KUMAR G Professional 21 500,000.00 Govindarasu T Father 01/07/2024
I
RiskCategory
134 882 ANBARASU V Professional 24 1,000,000.00 Punitha V Mother 01/07/2024
I
RiskCategory
135 890 JANANI R R Professional 30 500,000.00 Rajendran R Father 01/07/2024
I
RiskCategory
136 892 CHANDRU S Professional 22 1,000,000.00 Subramanian Father 01/07/2024
I
RiskCategory
137 894 PRADEEP KUMAR S Professional 23 500,000.00 Kalaiselvi Mother 01/07/2024
I
RiskCategory Dharma Rao Dora
138 895 RAM PRASAD DORA K Professional 32 1,000,000.00 Father 01/07/2024
I K
RiskCategory
139 901 GURUNATH R ALAUNDI Professional 27 1,000,000.00 Ramanna Alaundi Father 01/07/2024
I
RiskCategory
140 902 SOWNDHARYA H Professional 22 500,000.00 Hariyendiran Father 01/07/2024
I
RiskCategory
141 904 RAVINDRAN T Professional 28 500,000.00 Thangavel K Father 01/07/2024
I
RiskCategory
142 905 NANTHAKUMAR V Professional 23 1,000,000.00 Vadivel C Father 01/07/2024
I
RiskCategory
143 908 SANKAR GANAESH J S Professional 26 1,000,000.00 Jayanthi P Mother 01/07/2024
I
RiskCategory
144 909 VIVEK KUMAR M Professional 30 1,000,000.00 Latha Mother 01/07/2024
I
RiskCategory
145 910 SAKTHIVEL S Professional 42 1,000,000.00 Jothi S Spouse 01/07/2024
I
RiskCategory
146 923 VINSUN J Professional 21 1,000,000.00 Anbu Rose Mary Mother 01/07/2024
I
RiskCategory
147 925 ISHWARYA V Professional 24 500,000.00 Venkatesan A Father 01/07/2024
I
RiskCategory
148 927 PRAVEEN S Professional 30 1,000,000.00 Selvaraj M Father 01/07/2024
I
RiskCategory
149 928 ARUN KUMAR K Professional 25 1,000,000.00 Kumaran A Father 01/07/2024
I
RiskCategory
150 935 ARUN KUMAR R Professional 27 1,000,000.00 Sumathi R Mother 01/07/2024
I
RiskCategory
151 938 THANUSH D Professional 21 1,000,000.00 Dharmarajan R Father 01/07/2024
I
RiskCategory
152 939 YOHIT K Professional 22 1,000,000.00 Karthikeyan A Father 01/07/2024
I
RiskCategory
153 940 PURUSOTHAMAN V Professional 19 1,000,000.00 Thirusangu Others 01/07/2024
I
RiskCategory
154 941 NAZEEMA RANI N Professional 20 500,000.00 Kumutha N Mother 01/07/2024
I
RiskCategory
155 945 ARUNKUMAR A Professional 29 1,000,000.00 Sandhiya A Mother 01/07/2024
I
RiskCategory
156 947 SENTHILKUMAR M Professional 32 1,000,000.00 Murugan T Father 01/07/2024
I
RiskCategory
157 949 NATCHATHRA R Professional 27 500,000.00 Ravichandran C Father 01/07/2024
I
RiskCategory
158 950 SANTHURU S Professional 22 1,000,000.00 Sundaram G Father 01/07/2024
I
RiskCategory
159 951 ANISH V Professional 26 1,000,000.00 Varghese A Father 01/07/2024
I
RiskCategory
160 952 KRITHIKA G Professional 20 500,000.00 Ganesan S Father 01/07/2024
I
RiskCategory
161 954 ALAGUMANI A Professional 29 500,000.00 Gopinath K Spouse 01/07/2024
I
RiskCategory
162 955 NAVEENKUMAR P Professional 29 1,000,000.00 Adhilakshmi P Mother 01/07/2024
I
RiskCategory
163 957 VIDHYASAGAR N Professional 26 1,000,000.00 Narayanasamy S Father 01/07/2024
I
RiskCategory
164 958 KANNAN P Professional 23 1,000,000.00 Pandi S Father 01/07/2024
I
RiskCategory
165 960 AMUDHA A Professional 33 500,000.00 Sivakumar S Spouse 01/07/2024
I
RiskCategory
166 961 ANIL KUMAR B Professional 21 1,000,000.00 Birendra Mistry Father 01/07/2024
I
RiskCategory
167 962 SUNIL KUMAR B Professional 23 1,000,000.00 Birendra Mistry Father 01/07/2024
I
RiskCategory
168 963 VISU V Professional 26 500,000.00 Arumugam V Mother 01/07/2024
I
RiskCategory
169 964 RANJITHKUMAR J Professional 31 1,000,000.00 Subratha A Spouse 01/07/2024
I
RiskCategory
170 965 NIVEDHITHA C Professional 24 500,000.00 Chandra Mohan M Father 01/07/2024
I

6 / 15
 RiskCategory
171 968 NAGENDRABABU S Professional 23 1,000,000.00 Srinivas C Father 01/07/2024
I
RiskCategory
172 969 KIRUBAKAR P Professional 34 1,000,000.00 Sathiyavani G Spouse 01/07/2024
I
RiskCategory
173 970 VEDHAMOORTHY S Professional 24 1,000,000.00 Kirushna Moorthi Others 01/07/2024
I
VATUPALLI NAGENDRA RiskCategory
174 971 Professional 27 1,000,000.00 Devara Latha Spouse 01/07/2024
BABU I
RiskCategory
175 972 DINESH RAJENDRAN Professional 29 500,000.00 Sivagana Sundari Spouse 01/07/2024
I
RiskCategory Thanga Karuppa
176 974 KASI RAJAN T Professional 22 1,000,000.00 Father 01/07/2024
I Samy K
RiskCategory
177 975 LALIN PRASAD C Professional 22 1,000,000.00 Chandrasekar P Father 01/07/2024
I
RiskCategory
178 977 JASEELA PIYASA S Professional 32 500,000.00 Mymoon Beevi P Mother 01/07/2024
I
RiskCategory
179 978 RAMYA S Professional 24 500,000.00 Srinivasan V Father 01/07/2024
I
RiskCategory
180 979 SUNDAR S Professional 26 1,000,000.00 Raja Boopathi S Mother 01/07/2024
I
RiskCategory
181 980 PRAVEEN V Professional 24 1,000,000.00 Parimala Mother 01/07/2024
I
RiskCategory
182 981 PARTHASARATHY K Professional 28 1,000,000.00 Kamalakannan Father 01/07/2024
I
RiskCategory
183 982 KARUPPAIYA B Professional 24 1,000,000.00 Tamilarasi B Mother 01/07/2024
I
RiskCategory
184 983 PRAKASH P Professional 23 1,000,000.00 Perumal A Father 01/07/2024
I
RiskCategory
185 984 KUMARI S H Professional 38 500,000.00 Dhanapal K M Father 01/07/2024
I
RiskCategory
186 986 SANJEEV SRINIVAS A J Professional 22 1,000,000.00 Ashok Kumar K G Father 01/07/2024
I
RiskCategory
187 987 ARAVIND P Professional 23 1,000,000.00 Palani K Father 01/07/2024
I
RiskCategory
188 988 NAVEENKUMAR M Professional 22 500,000.00 Murugan G Father 01/07/2024
I
MOHAMMEDSHAFI RiskCategory
189 989 Professional 28 1,000,000.00 Pathima Mother 01/07/2024
TAMBAKAD I
RiskCategory
190 990 ABISHEK KUMAR P Professional 22 1,000,000.00 Geetha P Mother 01/07/2024
I
RiskCategory
191 991 HEMAMALINI E Professional 20 500,000.00 Elumalai Father 01/07/2024
I
RiskCategory
192 992 DAMODHARAN P Professional 26 500,000.00 Poongothai Mother 01/07/2024
I
RiskCategory
193 993 BHARATHIRAJA B Professional 22 500,000.00 Balasundaram Father 01/07/2024
I
RiskCategory
194 994 MADHAVAN N Professional 23 500,000.00 Nagaraj M Father 01/07/2024
I
RiskCategory
195 985 DEEPIKA M Professional 27 500,000.00 Murugesan K Father 01/07/2024
I
RiskCategory
196 996 SATHISH KUMAR K Professional 26 1,000,000.00 Babyshakila K Mother 01/07/2024
I
RiskCategory
197 997 GOVARDHANAN G Professional 26 1,000,000.00 Rajalakshmi Spouse 01/07/2024
I
RiskCategory
198 998 UPPILIYAPPAN M Professional 21 1,000,000.00 Archana U Spouse 01/07/2024
I
RiskCategory
199 999 ADARSH K Professional 23 1,000,000.00 Gopinathan K Father 01/07/2024
I
RiskCategory
200 1000 VENKATESH R Professional 24 1,000,000.00 Ramasamy S Father 01/07/2024
I
RiskCategory
201 1001 MOHAN RAM R Professional 27 1,000,000.00 Kavitha V Mother 01/07/2024
I
RiskCategory
202 1002 DEVA E Professional 32 1,000,000.00 Emperumal S Father 01/07/2024
I
RiskCategory
203 1003 SELLADURAI A Professional 31 1,000,000.00 Arivumani Father 01/07/2024
I
RiskCategory
204 1004 LAKSHMISH S Professional 23 1,000,000.00 Shivalingaiah K Father 01/07/2024
I
RiskCategory
205 1005 NAVANEEDHAN S Professional 28 1,000,000.00 Padmavathy S Mother 01/07/2024
I
RiskCategory
206 1006 PARTHIPAN S Professional 33 1,000,000.00 Manimegalai Spouse 01/07/2024
I
VENKATA SUBRAMANIAN RiskCategory
207 1007 Professional 27 1,000,000.00 Ganeshan K S Father 01/07/2024
K G I

Name Of Insured SI(Tbl-I) SI(Tbl-II) SI(Tbl-III) SI(Tbl-IV) SI(Tbl-Va) SI(Tbl-Vb) SI(Tbl-Vc)

AMBIGA M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
AMIRTHARAJ A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ANANTHA RAJ K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ANBARASI E 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ARULSELVAN A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
AYYASAMY A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
BUVANESWARI M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DEVI E 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DILLI PRASAD K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00

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DIVYA KUMARI P 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
EZHILAN R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
GAYATHRI J 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
GOMATHI S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
GOVINDHARAJI U 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ILAKKIYA S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
KANNIAMMAL E 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KARTHIK K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KATHIRVELAMMAL H 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
LAKSHMI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
LATHA K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MADHAVAN K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MARY V 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MURUGAN C 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NAGAPPAN J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRABAGARAN K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRATYUSHA M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RADHA G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAJEEVGANDHI P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
RANJANI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SASIKALA N 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SELVANAYAKI S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SIVASANKAR A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SRINIVASAN J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VALLIYAMMAL D 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VENKATESAN M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VIJAYALAKSHMI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MADHAN KUMAR T 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VIGNESH U 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PAUL DINAKARAN A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PADMAVATHY S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DEEPA R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
THIPPESWAMY B 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
BACKIYALAKSHMI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
AJAY K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SWATHI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
HARIKRISHNAN R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
AROKIA SABITHA T 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SUGUMAR E 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
GUNASEKAR M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SHAREPASAB NADAF P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ARAVIND T 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MATHUMITHA S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
VIMALRAJ R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SILAMBARASAN S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRASEENA CHOCKALINGAM T A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
PUSHPALATHA S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAMALYA R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DHANUSHYA D 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
KARUNAKARAN K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRIYA K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
JAYAMANI S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ARUNKUMAR UL 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DARTHY NISHA A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
VENKATESH M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MAHALAXMI MUTHUKUMAR NADAR 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAJA N 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MADASAMY P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MOHANRAJ A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SIVA SUBRAMANIAN S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
THIRUSANGU S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ANANDHI K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
KAMALI G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MOHAMED ABSUL SUHAIL J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PUNEETH KUMAR P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DAMODHARAN P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DIVYA M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
NINGARAJ F NAYKAR 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRASHANT S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DINESH D 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SIVA N 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
GOMATHI B 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
UMAIZA FATHIMA A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
VELAYUDHAM V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VANITHA D 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
GUNALAN J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
JAYAPRIYA N 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SATHYAPRIYA A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
VINITH G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SURYA PRAKASH J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ABIN V BABU 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
LOURDU ARUL PRASATH S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00

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SUBASH B 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KANNAMMA K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
NITHYANANDHAM K 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SANDHIYA U 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
GOVINDA SHARMA J 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MARIYALATHA W 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SANKAR V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
RONALDPHILIPS J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KOWSALYA V 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MEGHANATH K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VINITHA POOVARASI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DIVYAPRIYA G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SATHISH KUMAR S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ABIRAMI S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SUGANYA R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ANTONY NIRANJAN CROSS M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MANIMARAN T 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
JINANTHAR A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAJAN A K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NAGARAJAN M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
BALAMURUGAN P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SURIYA K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PALANI K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SRI RAM K M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SUBASHINI P 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
TAMILARASAN C 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
JAIKUMAR G 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
AJIN R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KUPPUSAMY R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SUBASHINI B 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MUNIYANDI D 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MAHALAKSHMI A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SOWMIYA J 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAJADURAI M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VINOTHINI R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DHANDAPANI K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MUTHUKUMAR S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KRISHNAN N 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SURESH KUMAR A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MURUGESAN E 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
BEVINA M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
PREM KUMAR G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ANBARASU V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
JANANI R R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
CHANDRU S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRADEEP KUMAR S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAM PRASAD DORA K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
GURUNATH R ALAUNDI 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SOWNDHARYA H 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAVINDRAN T 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
NANTHAKUMAR V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SANKAR GANAESH J S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VIVEK KUMAR M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SAKTHIVEL S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VINSUN J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ISHWARYA V 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
PRAVEEN S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ARUN KUMAR K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ARUN KUMAR R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
THANUSH D 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
YOHIT K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PURUSOTHAMAN V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NAZEEMA RANI N 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ARUNKUMAR A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SENTHILKUMAR M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NATCHATHRA R 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SANTHURU S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ANISH V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KRITHIKA G 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ALAGUMANI A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
NAVEENKUMAR P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VIDHYASAGAR N 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KANNAN P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
AMUDHA A 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
ANIL KUMAR B 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SUNIL KUMAR B 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VISU V 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RANJITHKUMAR J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NIVEDHITHA C 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
NAGENDRABABU S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KIRUBAKAR P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VEDHAMOORTHY S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00

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VATUPALLI NAGENDRA BABU 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DINESH RAJENDRAN 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
KASI RAJAN T 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
LALIN PRASAD C 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
JASEELA PIYASA S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
RAMYA S 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SUNDAR S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRAVEEN V 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PARTHASARATHY K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KARUPPAIYA B 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PRAKASH P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
KUMARI S H 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SANJEEV SRINIVAS A J 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ARAVIND P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NAVEENKUMAR M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MOHAMMEDSHAFI TAMBAKAD 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ABISHEK KUMAR P 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
HEMAMALINI E 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DAMODHARAN P 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
BHARATHIRAJA B 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
MADHAVAN N 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
DEEPIKA M 0.00 0.00 500,000.00 0.00 0.00 0.00 0.00
SATHISH KUMAR K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
GOVARDHANAN G 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
UPPILIYAPPAN M 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
ADARSH K 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VENKATESH R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
MOHAN RAM R 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
DEVA E 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
SELLADURAI A 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
LAKSHMISH S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
NAVANEEDHAN S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
PARTHIPAN S 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00
VENKATA SUBRAMANIAN K G 0.00 0.00 1,000,000.00 0.00 0.00 0.00 0.00

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 POLICY NO.: 2808004224P104810737
GROUP PERSONAL ACCIDENT POLICY

WHEREAS the Insured named in the Schedule herein ( herein after called the insured) has made/had made and/ or caused to be m a d e
to the United India Insurance Co. Ltd., (herein after called 'the Company') proposals and/or declaration dated as stated in Schedule
hereto which together with any statements and warranties contained therein shall be the basis of this contract and is /are deemed to be
incorporated herein for the insurance hereinafter se t forth in respect of persons detailed in the Schedule of insured persons ( herein
after called the 'Insured Persons').

NOW THIS POLICY WITNESSETH that subject to and in consideration of the payment made to the Company the premium for the period
stated in the schedule or for any further period for which the Company, may accept payment and subject to the terms, provisions,
exclusions, definitions and conditions contained herein or endorsed or otherwise expressed hereon the Company shall pay the insured to
the extent and in the manner hereinafter provided that if any of the insured persons shall :

1. Sustain any bodily injury resulting solely and directly from accident caused b y e x t e r n a l v i o l e n t a n d v i s i b l e m e a n s , t h e n t h e
company shall pay to the insured or his legal personal representative(s) as the case may be the sum or sums hereinafter set forth
in respect of any of the insured persons specified in the schedule :-
a) If such injury shall within twelve calendar month of its occurrence be the sole and direct cause to the death of the insured
persons the Capital Sum insured stated in the Schedule hereto applicable to such insured person.

b) If such injury shall within twelve calendar months of its occurrence be the sole and direct cause of the total and irrecoverable
loss of :
i. Sight of both eyes, or the actual loss by physical separation of two entire hands or two entire feet, or one-entire hand
and one entire foot or of such loss of sight of one eye and such loss of one entire hand or loss of one entire foot, the
capital sum insured stated in the Schedule hereto applicable to such insured person.

ii. Use of two hands or two feet, or of one hand and one foot or of such loss of sight of one eye and such loss of use of one
hand or one foot, the capital sum insured stated in the Schedule hereto.
c) If such injury shall within twelve calendar months of its occurrence be the sole and direct cause of the total and irrecoverable
loss of :
i. The sight of one eye or of the actual loss by physical separation of one entire hand or one entire foot, fifty percent
(50%) of the capital sum insured stated in the Schedule hereto applicable to such insured person.
ii. Total and irrecoverable loss of use of a hand or a foot without physical separation, fifty percent (50%) of the capital sum
insured stated in the Schedule hereto applicable to such insured person.
Note : For the purpose of clause (b) and (c) above, physical separation of a hand or feet means separation of hands at or above
the wrist and or of the foot at or above the ankle.
d) If such injury shall as a direct consequence thereof immediately permanently totally and absolutely, disable the insured
person from engaging in any employment or occupation of any description whatsoever, then a lump sum equal to hundred
percent (100%) of the Capital Sun insured stated in the schedule hereto applicable to such insured person.
e) If such injury shall within twelve calendar months of its occurrence be the sole and direct cause of the total and/or partial
irrecoverable loss of use or the actual loss by physical separation of the following then the percentage of the Capital Sum
insured applicable to such insured person in the manner indicated below:

Sl No. Item % of
Capital
Sum
Insured
i a. Loss of toes -all 20
b. Greet -both phalanges 5
c. Greet -one phalanx 2
d. Other than greet, of more than one toe lost each 1
ii Loss of hearing -both ears 50
iii Loss of hearing -one ear 15
iv Loss of 4 fingers and thumb of one hand 40
v Loss of 4 fingers 35
vi a. Loss of thumb -both phalanges 25
b. Loss of thumb -one phalanx 10
vii a. Loss of index finger -three phalanges 10
b. Loss of index finger -two phalanges 8
c. Greet -one phalanx 4
viii a. Loss of middle finger - 3 phalanges 6
b. Loss of middle finger - 2 phalanges 4
c. Loss of middle finger - 1 phalanx 2
ix a. Loss of ring finger - 3 phalanges 5
b. Loss of ring finger - 2 phalanges 4
c. Loss of ring finger - 1 phalanx 2
x a. Loss of little finger - 3 phalanges 4
b. Loss of little finger - 2 phalanges 3
c. Loss of little finger - 1 phalanx 2
xi a. Loss of metacarpals - first or second (additional) 3
b. Loss of metacarpals - third, fourth or fifth (additional) 2
xii. any other permanent partial disablement % as
assessed
by the
Doctor

f) If such injury shall be the sole and direct cause of temporary total disablement, then so long as the insured person shall be
totally disabled from engaging in any employment or occupation of any description whatsoever a sum at the rate of one
percent (1%) of the capital sum insured stated in the schedule hereto per week, but in any case not exceeding Rs.5000/-
per week or 25% of the monthly salary whichever is lowest in all under all PA policies covering such insured person.

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 Provided that the compensation payable under the foregoing sub-clauses (f) shall not be payable for more than 100 weeks
in respect of any one injury calculated from the date of commencement of the disablement and in no case shall exceed the
Capital sum insured applicable to such insured person.

g) In the event of Death of the insured person due to accident as defined in the policy outside her/his residence the company
shall reimburse expenses in addition to the amount payable under sub clause(a) to (f) expenses incurred for transportation
of insured 'persons dead body to the place of residence subject to a maximum of 2% of capital sum insured or Rs.2,500/-
which ever is less.

EXCEPTION

PROVIDED ALWAYS THAT

The company shall not be liable under this policy for:
1. Compensation under more than one of the foregoing sub-clauses in respect of the same period of disablement.

2. Any other payment to the same person after a claim under one of the sub-clauses (a), (b), (c) or (d) has been admitted and
become payable.
3. Any payment in case of more than one claim in respect of such insured person under this Policy during any one period of insurance
by which the maximum liability of the company in that period would exceed the sum payable under sub-clause (a) of the Policy to
such insured person.
4. Payment of weekly compensation until the total amount shall have been ascertained and agreed.
5. Payment of compensation in respect of death, injury or disablement of insured person (a) from intentional self-injury, suicide or
attempted suicide (b) whilst under the influence of intoxicating liquor or drugs (c) whilst engaging in aviation of Ballooning, whilst
mounting into dismounting from or traveling in any Balloon or aircraft other than as a passenger (fare-paying or otherwise) in any
duly Licensed Standard type of aircraft anywhere in the world (d) directly or indirectly caused by venereal disease or insanity (e)
arising or resulting from the insured committing any breach of the law with criminal intent.

Standard type of aircraft means any aircraft duly licensed to carry passengers (for hire or otherwise) by appropriate authority
irrespective of whether such an aircraft is privately owned or chartered or operated by a regular airline or whether such an aircraft
has a single engine or multiengine.
6. Payment of compensation in respect of Death, Injury or disablement of the insured person due to arising out of or directly or
indirectly connected with or traceable to war invasion, act of foreign enemy, Hostilities (whether war be declared or not) Civil War,
Rebellion, Revolution, Insurrection, Mutiny, Military or usurped Power, Seizure, Capture Arrests, Restraints and Detainment of all
Kings, Princes and people of whatever nation, condition or quality so ever.
7. Payment of compensation in respect of Death of, or bodily injury or any disease or illness of the insured persons

a) directly or indirectly caused by or contributed to by or arising from ionising radiation or contamination by radio activty from
any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. For the purpose of this exception
combustion shall include any self sustaining process of nuclear fission.
b) directly or indirectly caused by or contributed to by or arising from nuclear weapon/ materials.
Provided a l s o t h a t t h e d u e o b s e r v a n c e a n d f u l f i l l m e n t o f t h e t e r m s a n d c o n d i t i o n s o f this Policy (which conditions and all
endorsements hereon are to be read as part of this policy) shall so far as they relate to anything to be done or not to be done by
the insured be a condition precedent to any liability of the company under this Policy.
8. Pregnancy Exclusion Clause : The Insurance under this Policy shall not extend to cover death disablement resulting directly or
indirectly caused, contributed to or aggravated or prolonged by childbirth or pregnancy or in consequence thereof.

CONDITION

1. Upon the happening of any event, which may give rise to claim under this Policy, written notice with full particulars must be given to
the company immediately. In case of death, written notice also of the death must, unless reasonable cause is shown, be so given
before internment, cremation and in any case, within one calendar month after the death, and in the event of loss of sight or
amputation of limbs, written notice thereof must also be given within one calendar month after such loss of a sight or amputation.
2. Satisfactory Proof to the Company shall be furnished of all matter upon which a claim is based. Any medical or other agent of the
Company shall be allowed to examine the Persons insured on the occasion of any alleged injury or disablement when and so often
as the same may reasonably be required on behalf of the company and in the event of death to make a post-mortem
examination of the body of the insured persons. Such evidence as the company may from time to time require shall be furnished
and a post-mortem examination report if necessary be furnished within the space of fourteen days after demand in writing and in
the event of a claim in respect of loss of sight of the insured person(s) shall undergo at the insured's expense such operation or
treatment as the company may reasonably deem desirable .

No sum payable under this policy shall carry interest.

3. The Company shall not be liable to make any payment under this policy in respect of any claim if such claim be in any manner
fraudulent or supported by any fraudulent statement or device, whether by the insured or by any person on behalf of the insured
persons.
4. a) The Insured shall give immediate notice to the Company on any change of the insured persons, business or occupation.

b) The insured shall on tendering any premium for the renewal of this policy give notice in writing to the Company of any
disease physical defect or infirmity with which any of the insured person(s) have become affected since the Payment of the
last preceding premium.
5. This policy may be renewed by mutual consent every year and in such event, the renewal premium shall be paid to the Company
on or before the date of expiry of the policy or of the subsequent renewal thereof. The Company shall not, however be bound to
give notice that such Renewal Premium is due.

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6. The Company may at any time cancel the Policy on grounds of misrepresentation, fraud, non-disclosure of material fact or non-
cooperation by the insured by sending fifteen days notice in writing by Registered A/D to the insured at his last known address in
which case the Company shall return to the insured a proportion of the last premium corresponding to the unexpired period of
insurance if no claim has been paid under the policy. The insured may at any time cancel this policy and in such event the
Company shall allow refund of premium at Company's short period rates provided no claim has occurred upto the date of
cancellation.

7. If any dispute or difference shall arise as to the quantum to be paid under this policy (liability being otherwise admitted) such
difference shall independently of all other questions be referred to the decision of a sole arbitrator to be appointed in writing by
the parties to or if they cannot agree upon a single arbitrator within 30 days of any party invoking arbitrators, comprising of two
arbitrators, one to be appointed by each of the parties to the dispute/difference and the third arbitrator to be appointed by such
two arbitrators and arbitration shall be conducted under and in accordance with the provisions of the Arbitration and Conciliation
Act, 1996.

It is clearly agreed and understood that no difference or dispute shall be referable to arbitration as hereinbefore provided, if the
Company has disputed or not accepted liability under or in respect of this policy.

It is hereby expressly stipulated and declared that it shall be a condition precedent to any right of action or suit upon this policy
that the award by such arbitrator/arbitrators of the amount of the loss or damage shall be first obtained.
8. The insured shall throughout the period of insurance keep and maintain a proper record of register containing the names of all the
insured persons and other relevant details as are normally kept in any institution/ oranisation. The insured shall declare to the
company any additions in the number of insured persons as and when arising during theperiod of insurance and shall pay the
additional premium as agreed.Unless otherwise expressily declared and agreed to be covered by the company all the insured
persons covered within under this policy are free from any diability /defect which shall be the subject matter of laiability under the
policy.

DEFINITIONS:

1 ACCIDENT
Accident - An accident is a sudden, unforeseen and involuntary event caused by external and visible and violent m e a n s
"Acute condition" - Acute condition is a disease, illness or injury that is likely to respond quickly to treatment which aims to return the
person to his or her state of health immediately before suffering the disease/illness/injury which leads to full recovery.
B. "Chronic condition" - A chronic condition is defined as a disease, illness, or injury that has one or more of the following
characteristics -
i. it needs ongoing or long-term monitoring through consultations, examinations, check-ups and/or tests -
ii. it needs ongoing or long-term control or relief of symptoms
iii. it requires your rehabilitation or for you to be specially trained to cope with it
iv. it continues indefinitely
v. it comes back or is likely to come back.

2 CONGENITAL ANOMALY
Congenital Anomaly refers to a condition(s) which is present since birth, and which is abnormal with reference to form, structure or
position.
a . Internal Congenital Anomaly
Which is not in the visible and accessible parts of the body.
b . External Congenital Anomaly
Which is in the visible and accessible parts of the body.

3 CONDITION PRECEDENT
Condition Precedent shall mean a policy term or condition upon which the Insurer's liability under the policy is conditional upon.

4 CONTRIBUTION
Contribution is essentially the right of an insurer to call upon other insurers liable to the same insured to share the cost of an
indemnity claim on a rateable proportion.

5 DAY CARE CENTRE

Day Care centre means any institution established for day care treatment of illness and/or injuries or a medical set-up within a
hospital and which has been registered with the local authorities, wherever applicable, and is under the supervision of a registered
and qualified medical practitioner AND must comply with all minimum criteria as under :
a . Has qualified nursing staff under its employment
b . Has qualified Medical Practitioner(s) in charge
c. Has a fully equipped operation theatre of its own where surgical procedures are carried out-
d . Maintains daily records of patients and will make these accessible to the Insurance Company's authorized personnel.

6 DAY CARE TREATMENT - Day Care treatment means the medical treatment and/or surgical procedure which is -(i). Undertaken under
General or Local Anesthesia in a hospital/day care centre in less than 24 hrs because of technological and (ii) which would have
otherwise required a hospitalisation of more than 24 hours. Treatment normally taken on an out-patient basis is not included in the
scope of this definition.

7 DEDUCTIBLE
Deductible is a cost sharing requirement under a Personal Accident Insurance Policy that provides that the Insurer will not be liable
for a specified rupee amount in case of Indemnity policies and for a specified number of days/hours in case of hospital cash policies
which will apply before any benefits are payable by the insurer. A deductible does not reduce the sum insured.

8 HOSPITAL/NURSING HOME

A Hospital means any institution established for in-patient care and day care treatment of illness and/or injuries and which has been
registered as a Hospital with the local authorities under the Clinical establishments (Registration and Regulation) Act, 2010 or under
the enactments specified under the Schedule of Section 56(1) of the said Act OR complies with all minimum criteria as under

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 - Has qualified nursing staff under its employment round the clock.
Has at least 10 in-patient beds in towns having a population of less than 10 lacs and at least 15 in-patient beds in all other
-
places;
- Has qualified medical practitioner(s) in charge round the clock;
- Has a fully equipped Operation Theatre of its own where surgical procedures are carried out;
- Maintains daily records of patients and makes these accessible to the insurance company's authorized personnel.
The term 'Hospital / Nursing Home ' shall not include an establishment which is a place of rest, a place for the aged, a place for
drug-addicts or place for alcoholics, a hotel or a similar place.

9 HOSPITALISATION
Means admission in a Hospital/Nursing Home for a minimum period of 24 In-patient care consecutive hours except for specified
procedures/treatments, where such admission could be for a period of less than 24 consecutive hours.

10 INJURY
Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent and visible
and evident means which is verified and certified by a Medical Practitioner.

11 IN-PATIENT CARE
In-patient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

12 INTENSIVE CARE UNIT

The term "Intensive Care" unit means an identified section, ward or wing of a hospital which is under the constant supervision of a
dedicated Medical Practitioner(s), and which is specially equipped for the continuous monitoring and treatment of patients who are in
a critical condition, or require life support facilities and where the level of care and supervision is considerably more sophisticated and
intensive than in the ordinary and other wards.

13 MEDICAL ADVISE
Medical Advise - Any consultation or advice from a Medical Practitioner including the issue of a any prescription or repeat prescription.

14 MEDICAL EXPENSES
Medical expenses - Medical Expenses means those expenses that an Insured person has necessarily and actually incurred for
medical treatment on account of illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would
have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality
would have charged for the same medical treatment.

15 MEDICALLY NECESARY
Medically Necessary treatment is defined as any treatment, tests, medication, or stay in hospital or part of a stay in hospital which
a . Is required for the medical management of the illness or injury suffered by the insured;
b . Must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration or
intensity;
c. Must have been prescribed by a Medical Practitioner;
d . Must conform to the professional standards widely accepted in international medical practice or by the medical community in
India.

16 MEDICAL PRACTITIONER
A Medical Practitioner is a person who holds a valid registration from the Medical Council of any State of India or Medical Council of
India or Council for Indian Medicine or for Homeopathy set up by the Government of India or a State Government and is thereby
entitled to practice medicine within its jurisdiction; and is acting within the scope and jurisdiction of licence.

The term Medical Practitioner would include Physician, Specialist and Surgeon. (The Registered Practitioner should not be the insured
or close family members such as parents, in-laws, spouse and children).

17 NOTIFICATION OF CLAIM
Notification of claim is the process of notifying a claim to the insurer or TPA by specifying the timelines as well as the
address/telephone number to which it should be notified.

18 ROOM RENT
Room rent shall mean the amount charged by a hospital for the Occupancy of a bed on per day (24 hours) basis and shall include
associated medical expenses.

19 SUBROGATION
Subrogation shall mean the right of the insurer to assume the rights of the insured person to recover expenses paid out under the
policy that may be recovered from any other source.

20 SURGERY OR SURGICAL PROCEDURE

Surgery or Surgical Procedure means manual and/or operative procedure(s) required for treatment of an illness or injury, correction
of deformities and defects, diagnosis and cure of diseases, relief of suffering or prolongation of life, performed in a hospital or day
care centre by a Medical Practitioner.

Communicable Disease Exclusion Clause:

1. Notwithstanding any provision, clause or term of this insurance contract to the contrary, this insurance Contract excludes any loss, cost,
damage, liability, claim, fines, penalty or expense or any other amount of whatsoever nature, whether directly or indirectly and/or in whole
or in part, related to, caused by, contributed to by, resulting from, as a result of, as a consequence of, attributable to, arising out of,
arising under, in connection with, or in any way involving (this includes all other terms commonly used and/or understood to reflect or
describe nexus and/or connection from one thing to another whether direct or indirect):
1.1 a Communicable Disease and/or the fear or threat (whether actual or perceived) of a Communicable Disease and/or the actual or
alleged transmission of a Communicable Disease regardless of any other cause or event contributing and/ or occurring concurrently or in
any sequence thereto, and
1.2 a pandemic or epidemic, as declared by the World Health Organisation or any governmental authority.
2. As used herein, Communicable Disease means: any infectious, contagious or communicable substance or agent and/or any infectious,
contagious or communicable disease which can be caused and/or transmitted by means of substance or agent where:

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2.1 the disease includes, but is not limited an illness, sickness, condition or an interruption or disorder of body functions, systems or
organs, and
2.2 the substance or agent includes, but is not limited to, a virus, bacterium, parasite, other organism or other micro-organism (whether
asymptomatic or not); including any variation or mutation thereof, whether deemed living or not, and
2.3 the method of transmission, whether direct or indirect, includes but not limited to, airborne transmission, bodily fluid transmission,
transmission through contact with human fluids, waste or the like, transmission from or to any surface or object, solid, liquid or gas or
between organisms including between humans, animals, or from any animal to any human or from any human to any animal, and
2.4 the disease, substance or agent is such:
2.4.1 that causes or threatens damage or can cause or threaten damage to human health or human welfare, or
2.4.2 that causes or threatens damage to or can cause or threaten damage to, deterioration to, contamination of, loss of value of, loss of
marketability of or loss of use or usefulness of, tangible or intangible property. For avoidance of doubt, Communicable Disease includes
but is not limited to Coronavirus Disease 2019 (Covid -19) and any variation or mutation thereof.
3. For further avoidance of doubt, any contingent or other business interruption loss, cost, damage, loss of income, loss of use, increased
cost of working and/or extra expense arising out of or attributable to:
3.1 any partial or complete closure of and/or slowdown in, including but not limited to any closure by or under the advisories of public,
military, government or civil authorities, or any denial of access to insured premises, or customer and or supplier premises (including
service / utility providers), or
3.2 change in consumer behaviour, or
3.3 an absence of infected employees or employees suspected of being infected shall not be covered by this insurance Contract. .
4. For still further avoidance of doubt, loss, cost, damage, liability, claim, fines, penalty or expense or any other amount excluded hereby,
includes but is not limited to any cost to identify, clean-up, detoxify, disinfect, decontaminate, mitigate, remove, evacuate, repair, replace,
monitor, sanitize or test: (1) for a Communicable Disease or (2) any tangible or intangible property covered by this [insurance Contract]
that is affected by such Communicable Disease.
5. It is clarified that (1) no other prior, concurrent or subsequent provision, clause, term or exception of this insurance Contract (including
(but not limited to) any prior, concurrent or subsequent endorsement and/or any provision, clause, term, buy back or exception that
operates, or is intended to operate, to extend the coverage of, or protections provided by, this insurance Contract] by whatever name
called like any coverage extension, additional coverage, global extension, exception to any exclusion); (2) any change in the law, clause
or similar provision; (3) any follow the fortunes clause or similar provision; and/or (4) no change in the law or any regulation (to the
extent permitted by applicable law), shall operate to provide any insurance, coverage or protection under this insurance Contract that
would otherwise be excluded through the exclusion set forth in this [Endorsement][Clause].
6. If the insurer alleges that by reason of this [Endorsement][Clause] any amount is not covered by this insurance Contract the burden of
proving the contrary shall rest in the insured.

Pandemic /Epidemic Specific Exclusion Clause:

Notwithstanding any provision, clause or term of this Contract, this insurance Contract excludes any first party and/or third party actual or
alleged loss, injury, sickness, disease, death, medical payment, defence cost, cost, damage, liability, claim, fines, penalty, compensation,
expenses or any amount of whatsoever nature, whether directly or indirectly and/or in whole or in part, arising out of (this includes all
other terms commonly used and/or understood to reflect or describe, direct or indirect nexus and/or connection between one thing and
another), intentional or unintentional violation of
a. The provisions of Disaster Management Act, 2005 as amended from time to time
b. The provisions of The Epidemic Diseases Act 1897 as amended from time to time
c. The provisions of any act dealing with public health and/or public safety
d. The rules, regulations, orders, guidelines, policies, notification etc issued from time to time under any of the above acts.
Disclosure to Information Norm

The policy shall be void and all premium paid hereon shall be forfeited to the Company, in the event of mis-representation, mis-
description, or non-disclosure of any material fact.

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